MERCY CARE MANAGEMENT, INC (NPI# 1114451424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114451424 |
| Entity Type | Organization |
| Organization Name | MERCY CARE MANAGEMENT, INC |
| Other Organization Name | MERCYCARE HIAWATHA URGENT CARE |
| Practice Address |
1195 Boyson Rd Fl 1 Hiawatha IA 52233-2214 |
| Mailing Address |
Po Box 2963 Cedar Rapids IA 52406-2963 |
| Practice Telephone | 3198323950 |
| Practice Fax Number | 3198323951 |
| Mailing Telephone | 3198323950 |
| Mailing Fax Number | 3198323951 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-11-01 |
| Authorized Official Name | MR. TIMOTHY L CHARLES (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3193986697 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| MercyCare Hiawatha Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467659268 | Mercy Care Management, Inc | Nurse Practitioner | 5264 Council St Ne, Suite 100, Cedar Rapids, IA 52402-2471 | 2007-06-27 |
| 1306042890 | Mercy Care Management, Inc | Nurse Practitioner | 2815 Edgewood Rd Sw, Cedar Rapids, IA 52404-3258 | 2007-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | MERCY CARE MANAGEMENT, INC. | 701 10th St Se, Cedar Rapids, IA 52403 |
| Street Address |
1195 BOYSON RD FL 1 |
| City | HIAWATHA |
| State | IA |
| Zip Code | 52233-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707249 | Jenna Haganman | Dentist | 1090 Sherman Rd, Hiawatha, IA 52233 | 2019-06-05 |
| 1548771629 | Alicia Means | Counselor | 1811 Boyson Rd Ste A, Hiawatha, IA 52233 | 2017-10-17 |
| 1740732270 | Pamela Jean Severson | Counselor | 1350 Boyson Rd Ste D2, Hiawatha, IA 52233 | 2016-11-01 |
| 1902174006 | Excel Chiropractic and Rehab PC | Chiropractor | 1625 Boyson Rd., Suite 104, Hiawatha, IA 52233 | 2011-12-05 |
| 1992099055 | Ross Robert Hausmann | Chiropractor | 1625 Boyson Rd Ste 104, Hiawatha, IA 52233 | 2011-06-07 |
| 1669605937 | Wickwire Chiropractic and Wellness Center P.C. | Chiropractor | 1690 Blairs Ferry Rd, Hiawatha, IA 52233 | 2009-09-02 |
| 1861622292 | Lee Adam Wickwire | Chiropractor | 1690 Blairs Ferry Road, Hiawatha, IA 52233 | 2009-07-20 |
| 1619127388 | Kara Charlotte Gillund | Physical Therapist | 400 Blairsferry Crossing, Hiawatha, IA 52233 | 2008-09-30 |
| 1316105265 | Stephen Edwin Broad | Dentist | 1055 North Center Point Road, Hiawatha, IA 52233 | 2008-05-28 |
| 1699820597 | City of Hiawatha | Ambulance | 60 10th Avenue, Hiawatha, IA 52233 | 2007-01-24 |
| Find all providers in zip 52233 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336170976 | Arlene Renee Long | Nurse Practitioner | 909 S 2nd St, Hiawatha, KS 66434-2774 | 2006-07-05 |
| 1568075331 | Hope Breitbach | Nurse Practitioner | 1095 N Center Point Rd, Hiawatha, IA 52233-1231 | 2020-08-31 |
| 1770912768 | Katherine Elizabeth Andersen | Nurse Practitioner | 1001 N Center Point Rd, Hiawatha, IA 52233-1236 | 2013-11-11 |
| 1376779009 | Beth S Meyer | Nurse Practitioner | 754 N Center Point Rd, Hiawatha, IA 52233-1226 | 2009-06-09 |
| 1811141765 | Stephanie Robinson | Nurse Practitioner | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2008-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950032 | Mary Christine Pope | Nurse Practitioner | 1023 E Avenue, Scranton, IA 51462-7520 | 2020-10-23 |
| 1922607936 | Alisse Anna Diers | Nurse Practitioner | 346 2nd Ave Sw # 303, Cedar Rapids, IA 52404-2045 | 2020-10-21 |
| 1043818941 | Leslie Brooke Charleville | Nurse Practitioner | 10001 95th Ave, Indianola, IA 50125-7181 | 2020-10-13 |
| 1467050674 | Sarah Schoner | Nurse Practitioner | 801 East Grand Avenue, Mount Pleasant, IA 52641 | 2020-10-12 |
| 1669088654 | Jinxia Peng | Nurse Practitioner | 9823 Biscayne Dr, Johnston, IA 50131-3002 | 2020-09-16 |
| 1093320392 | Ryan Michael Winder | Nurse Practitioner | 615 A Ave Se, Mount Vernon, IA 52314-1532 | 2020-09-14 |
| 1659986594 | Matthew John Garred | Nurse Practitioner | 420 Driftwood Ct, Sioux City, IA 51104-2200 | 2020-09-08 |
| 1699389882 | Mary Ann Shaw | Nurse Practitioner | 207 W Main Ave, Rockford, IA 50468-1213 | 2020-09-04 |
| 1588277404 | Alyson Seamer | Nurse Practitioner | 8455 Ridgeview Dr, Des Moines, IA 50320-6954 | 2020-08-29 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.